Medicare Codes for Primary Care: Expansions With Limitations
Authors: Davoren Chick
Journal: Annals of Internal Medicine (2022)

EditorialsAugust 2022Medicare Codes for Primary Care: Expansions With LimitationsDavoren Chick, MDDavoren Chick, MDAmerican College of Physicians, Philadelphia, PennsylvaniaSearch for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M22-1897 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Primary care physicians and their patients deserve a health care system that appropriately values preventive services and coordination of care. Physicians and their teams deserve payment for such services when provided in a longitudinal and patient-centered manner.In response to advocacy by the American College of Physicians (1) and other organizations, the Centers for Medicare & Medicaid Services have acknowledged the value of primary care by paying for some non–face-to-face office services and by recognizing new preventive service and coordination of care codes. The new codes are billable for specifically defined services, such as advance care planning or smoking cessation ...References1. Erickson SM, Outland B, Joy S, et al; Medical Practice and Quality Committee of the American College of Physicians. Envisioning a better U.S. health care system for all: health care delivery and payment system reforms. Ann Intern Med. 2020;172:S33-S49. [PMID: 31958802] doi:10.7326/M19-2407 LinkGoogle Scholar2. Agarwal SD, Basu S, Landon BE. The underuse of Medicare's prevention and coordination codes in primary care. A cross-sectional and modeling study. Ann Intern Med. 2022;175:1100-8. doi:10.7326/M21-4770 LinkGoogle Scholar3. Luth EA, Manful A, Weissman JS, et al. Practice billing for Medicare advance care planning across the USA. J Gen Intern Med. 2022. [PMID: 35083654] doi:10.1007/s11606-022-07404-9 CrossrefMedlineGoogle Scholar4. Adiga K, Buss M, Beasley BW. Perceived, actual, and desired knowledge regarding Medicare billing and reimbursement: a national needs assessment survey of internal medicine residents. J Gen Intern Med. 2006;21:466-70. [PMID: 16704389] CrossrefMedlineGoogle Scholar5. Austin RE, von Schroeder HP. How accurate are we? A comparison of resident and staff physician billing knowledge and exposure to billing education during residency training. Can J Surg. 2019;62:340-346. [PMID: 31550096] CrossrefMedlineGoogle Scholar6. Kapa S, Beckman TJ, Cha SS, et al. A reliable billing method for internal medicine resident clinics: financial implications for an academic medical center. J Grad Med Educ. 2010;2:181-7. [PMID: 21975617] doi:10.4300/JGME-D-10-00001.1 CrossrefMedlineGoogle Scholar7. Evans DV, Cawse-Lucas J, Ruiz DR, et al. Family medicine resident billing and lost revenue: a regional cross-sectional study. Fam Med. 2015;47:175-81. [PMID: 25853527] MedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: American College of Physicians, Philadelphia, PennsylvaniaDisclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M22-1897.Corresponding Author: Davoren Chick, MD, American College of Physicians, 190 N Independence Mall West, Philadelphia, PA 19106-1572; e-mail, [email protected]org.This article was published at Annals.org on 28 June 2022. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Underuse of Medicare's Prevention and Coordination Codes in Primary Care Sumit D. Agarwal , Sanjay Basu , and Bruce E. Landon Metrics August 2022Volume 175, Issue 8Page: 1189-1190KeywordsElectronic medical recordsHealth economicsMedicarePreventive medicinePrimary care physicians ePublished: 28 June 2022 Issue Published: August 2022 Copyright & PermissionsCopyright © 2022 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...